Update from yesterday, Husband's medical records from ER trip

He lied about being told there wasn't enough time for tests.

They did all the appropriate tests, and the DR offered further emergency department management, a formal echocardiogram and cardiology consultation. But he said he'd wait until he got home, and he felt better after breathing treatments. I will strangle him if/when he gets home Friday.

So, my crash course in heart failure via Google tells me this is acute decompensated heart failure. I will be prepared to take him to the emergency room when he flies in. Not much else I can for someone who is being negligent to their health.

From his records, (with added notes from me as I try to understand all this)

Meds given:

DuoNeb updraft x2 for asthma

"Single IV dose of diuretic"

*BNP: 3171 (significant cardiac pressure/volume overload; BNP of 232 April 2026)

*Repeatedly elevated diastolic pressures

*Respiratory rates every 15min: 8br/min, 6br/min and 25br/min

*2hr Troponin 16ng/L, 14ng/L

Chest xray:

-Cardiomegaly

-Slight prominence of central bronchovascular markings/interstitial markings (inflammation or fluid)

-No focal airspace consolidation

ECG:

-Possible left atrium enlargement

-Left axis deviation (QRS axis is −39°)

-Possible anterior myocardial infarction, probably old

CT:

-Mildly enlarged heart

-No pericardial effusion (no fluid in heart sac)

-Pulmonary edema, septal thickening most pronounced at lung bases (fluid in lung tissue)

-Moderate right and small left pleural effusions with adjacent compressive atelectasis (fluid around both lungs causing pressure on alveoli)

*Scattered nodules in the right lung measuring up to 1.4cm* (could be from old infections, scar tissue, or inflammation, must follow-up due to size)

-No acute pulmonary embolus

Bedside cardiac ultrasound:

Demonstrates impaired EF: by estimate about 40%